Healthcare Provider Details
I. General information
NPI: 1831701135
Provider Name (Legal Business Name): ROYAL MANOR OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2020
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 BUSINESS PARK WAY
ROYAL PALM BEACH FL
33411-1747
US
IV. Provider business mailing address
600 BUSINESS PARK WAY
ROYAL PALM BEACH FL
33411-1747
US
V. Phone/Fax
- Phone: 561-798-3700
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SOLOMON
KLEIN
Title or Position: MEMBER
Credential:
Phone: 347-909-1811